Common Painful Conditions

At Premier Pain Treatment Institute, our board-certified pain management specialists have experience treating a wide range of painful conditions. Many conditions have numerous treatment options, including medications, therapeutic modalities, basic injections, advanced interventional procedures, and surgery. Our expertise in pain medicine enables us to evaluate the appropriateness of all of these options to provide you with a unique treatment plan tailored to your treatment goals. We have experience treating a wide variety of common and rare conditions.

Low Back Pain — Approximately 80% of people will seek medical treatment for back pain at some point in their lives. There are many reasons for low back pain and we focus on identifying the exact cause of your pain to provide the most effective treatment. Interventional procedures commonly used to treat low back pain include epidural steroid injections, SI joint injections, trigger point injections, medial branch blocks, radiofrequency ablation, and spinal cord stimulation.

Common causes for low back pain:

• Lumbar Disc Herniation
• Lumbar Degenerative Disc Disease
• Lumbar Facet Joint Disease
• Lumbar Myofascial Pain
• Lumbar Spinal Stenosis
• Sacroiliac Joint Pain
• Sciatica

Neck Pain — Patient symptoms, physical examination, and appropriate imaging all help to differentiate the cause of your neck pain. Epidural steroid injections, medial branch blocks, radiofrequency ablation, and trigger point injections can all be used in the appropriate situations to treat your pain.

Common causes for neck pain:

• Cervical Disc Herniation
• Cervical Degenerative Disc Disease
• Cervical Facet Joint Disease
• Cervical Myofascial Pain
• Cervical Spinal Stenosis

Failed Back Surgery Syndrome — When patients continue to have pain after spine surgery, they are often told that options are limited. At PPTI, we can frequently identify appropriate therapies your surgeon may not have suggested, such as spinal cord stimulation and targeted drug delivery, which can help restore your quality of life.

Joint Pain — Chronic pain can affect any of the joints of the body. The most common joint pain that we treat generates from the shoulders, hips, and knees. Treatment for these joints can include corticosteroid injections, viscosupplement injections, and radiofrequency ablation.

Common causes for joint pain:

• Osteoarthritis
• Rheumatoid Arthritis
• Bursitis
• Pain after Joint Replacement

Vertebral Compression Fracture — Painful compression fractures of the thoracic and lumbar spine that have failed conservative therapy and bracing can be treated with vertebral cement augmentation.

Complex Regional Pain Syndrome — CRPS is a disorder of the sympathetic nervous system that can occur after a trauma or surgery. It needs to be treated aggressively with neuropathic medications, physical therapy, and sympathetic nerve blocks. Treatment-resistant cases benefit from early consideration for neuromodulation.

Diabetic Peripheral Neuropathy — Many people, including some healthcare providers, are not aware that there are effective interventional treatments for painful diabetic peripheral neuropathy, including sympathetic nerve blocks and spinal cord stimulation.

Other commonly treated conditions:

• Chronic Abdominal Pain
• Chronic Pain Syndrome
• Chronic Migraine Headaches
• Fibromyalgia
• Intercostal Neuralgia
• Myofascial Pain Syndrome
• Occipital Neuralgia
• Trigeminal Neuralgia